• Head & neck · Dec 2019

    Determination of legal responsibility in shared airway management between anesthesiology and otolaryngology.

    • Henry C Ideker, Jatin S Julakanti, Nishat A Momin, and Mohamad R Chaaban.
    • School of Medicine, University of Texas Medical Branch, Galveston, Texas.
    • Head Neck. 2019 Dec 1; 41 (12): 4181-4188.

    BackgroundMalpractice litigation remains an important point of contention in the United States. Airway management often sees multidisciplinary teams of anesthesiologists and otolaryngologists. This report analyzes lawsuits affecting both teams in airway management.MethodsThe Westlaw legal database (West Publishing Co., St. Paul, MN) was used to search for malpractice cases involving failed airway management, where both anesthesiology and otolaryngology were involved.ResultsAmong the 28 cases analyzed, otolaryngology and anesthesiology were most commonly sued together (46.4%). When sued together, defendants were less likely to win and average award amounts ($4, 558 716) were higher. These cases most commonly occurred in the operating room (78.6%), involved a difficult/improper intubation (39.3%), alleged a failure to follow standard of care (57%), and resulted in death (60.7%).ConclusionThese cases primarily cited failure to follow standard of care and communication failures. Efforts should be directed toward multidisciplinary airway management protocols and effective communication.© 2019 Wiley Periodicals, Inc.

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